Eugene Austin Park
Hospitalist in Portland, OR. Individual provider (NPI-1).
NPI number1003467697
StatusActive
Last updated in NPPESOct 8, 2026
Details
- NPI
- 1003467697
- Entity type
- Individual (NPI-1)
- Name
- Mr. Eugene Austin Park
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2019
- Certification date
- Oct 8, 2026
- Last updated
- Oct 8, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | MD231505 | OR | Yes |
| 207R00000X | Internal Medicine | MD231505 | OR |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-1164 · Fax 503-494-5502
Mailing address
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-1164 · Fax 503-494-5502
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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